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白血病细胞的手镜形改变可见于多种急慢白血病,但最多见于急淋。近年来国外研究渐多,但国内报道则较少。现将我们发现的1例报告如下。病历摘要女患,30岁。因低热、头昏、乏力一个月,加重一周而就诊。体检:重度贫血貌。体温37.8℃,脉搏108次/分,血压85/58mmHg。肝肋下2cm,脾肋下3cm,双颌下和双腋下可触及1×1cm大小淋巴结,胸骨压痛(-)。血象:红细胞1.1×10~(12)/L,血红蛋白30.0g/L,白细胞5.0×10~9/L,血小板45×10~9/L,白细胞分类:中性粒细胞7％,原始淋巴细胞25％,幼稚淋
Hand mirror-like changes in leukemia cells can be found in a variety of acute and chronic leukemia, but the most common in acute lymphoblastic. In recent years, more and more studies abroad, but less domestic reports. Now we found a report of the following. Female medical record summary, 30 years old. Due to fever, dizziness, fatigue for a month, increased week and treatment. Physical examination: severe anemia appearance. Body temperature 37.8 ℃, pulse 108 beats / min, blood pressure 85 / 58mmHg. Liver ribs 2cm, 3cm under the spleen ribs, double submandibular and double armpits reach 1 × 1cm size lymph nodes, sternal tenderness (-). Blood: 1.1 × 10 ~ (12) / L of red blood cells, 30.0g / L of hemoglobin, 5.0 × 10 ~ 9 / L of white blood cells, 45 × 10 ~ 9 / L of platelets, white blood cell classification: 7% of neutrophils, 25%, childish shower